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作者从纤支镜刷片 115 6例中检出肺癌 347例。根据常见肺癌细胞学形态特点 ,将其分为七类 :A.高分化鳞癌。B.低分化鳞癌。C.高分化腺癌。D.低分化腺癌。E.小细胞癌。F.大细胞癌。 G.癌疑细胞。对其细胞学形态及诊断要点进行了较详细的描述。纤支镜刷检的大多适应症是 :1肿块位于支气管 4级 (含 4级 )分枝后 ,无法钳取活检。 2支气管 (4级前 )粘膜下癌浸润造成狭窄 ,无法钳取者。 3支气管内肿物暴露不确切 ,盲检钳取可配合刷检者。
The author detected 347 cases of lung cancer from bronchoscopic brush. According to the morphological characteristics of common lung cancer cells, they are divided into seven categories: A. Well-differentiated squamous cell carcinoma. B. Poorly differentiated squamous carcinoma. C. Well-differentiated adenocarcinoma. D. Poorly differentiated adenocarcinoma. E. Small cell carcinoma. F. Large cell carcinoma. G. Suspected cancer cells. The cytological morphology and diagnostic points were described in more detail. Most of the indications for fiber bronchoscopy are: 1 The mass is located in the bronchial grade 4 (including grade 4) branches and cannot be clamped for biopsy. 2 The bronchial (grade 4) submucosal carcinoma infiltrates the stenosis and cannot be clamped. 3 Intrabronchial mass exposure is not definitive, and blind-clamping forceps can be used with brush-checkers.